An English Translation of the Sushruta Samhita, Vol. III: Uttara-tantra — trans. Kaviraj Kunja Lal Bhishagratna (1916)

X “Riga”— It is a preparation of a cordial with sugar, Souvarchalasalt, Saindhava, turmeric, Parushaka, black-berry and mustard, etc*

§ Dallana interprets “Rasa” by meat-soup but we are inclined to take it in the sense of articles of different tastes (Rasa).

THE SUSHRUTA SAMHITX. [Chap. LVII.

p. 360

Use of Decoction, Arlshta and Asava :

— Decoctions of the drugs of the Mustddi and Aragva • dhddi or Das'a-mula groups as well as the different lambatives with honey, the different Asavas prepared with any officinal urine and with treacle as well as the different Arishtas and the different Asavas prepared from any Kshdra and resembling in scent, the wine prepared from honey, should be used in conquering an attack of Arochaka. The aforesaid measures should also be employed for the purpose of re-kindling the digestive fire (appetite) impaired through the action of deranged Vdyu and Kapha. 16.

Treatment of Msfnasa Arochaka In a case of impaired digestion due to the effects of any ungratified desire, fear, grief, etc., the lost longing for food should be restored in the patient by holding out to him the near prospect of its realisation and by consoling him with the prospects of fresh joy and safety. In a case due to the loss of a splendid fortune, the bitter apathy and loathsomeness of the patient towards taking any food should be removed by infusing fresh hopes into his heart and by narrating to him the balmy stories of the PurAnas. A case due to dejection or despondency should be conquered by sincere- sympathy and cheering up. In short any impairment of appetite due to any disturbed or agitated state of the mind should be remedied with discourses gratifying to the patient under the circumstances. 17

Thus ends the fifty-seventh chapter in the Uttara-Tantra of the Sus'ruta Samhitk which deals with the (symptoms and) treatment of Arochaka.

CHAPTER LVIII.

Now we shall discourse on the chapter which deals with the (symptoms and) medical treatment of the suppression of urine (MutrsC-ghsCta Pratf* shed ha), i.

The disease is of twelve* kinds, viz., V£ta-kunda* lik£, Ashthild, Vâta-vasti Mutrdtita, (Mutra-) Jathara, Mutrotsanga, (Mutra-)Kshaya, M utra-granthi, Mutrasukra, Ushna-vâta and the two forms of (viz, Kaphaja and Pittaja) Mutraukasdda. 2.

Symptoms of Vsfta-kundaliksC:— The

bodily V£yu deranged and aggravated through an extremely parched condition or through the voluntary repression of an urging towards micturition affects and retains the urine in the bladder, causing it to revolve in eddies within the cavity of that organ. It allows the urine to pass in small quantity or (even) to dribble out in drops with pain. This disease is known as kandaliktf and is of a violent type. 3.

VatsfshthilsC : — The deranged and aggravated bodily Vâyu incarcerated or lodged in the region lying between the bladder and the anus gives rise to a thick lumpy tumour like a pebble (Ashthild), which is hard and non-shifting in its character, producing suppression of stool, urine and flatus, distension of the abdomen and pain in the bladder. It is known as Vrftrf8htllik& 4.

V^ta-vasti : — The bodily VAyu in the locality, aggravated by a voluntary repression of a propulsion to urination enters into the bladder of the ignorant

* Midhava reads thirteen different kinds of this disease. He reads only one kind of Mutra-sAda and adds Vid-vighâta and iVasti-kundala.

p. 46

362 THE SUSHRUTA SAMHITA. [Chap. LVIII.

person doing the same and also obstructs the orifice of that organ causing retention of .urine with an oppressive pain in the bladder and loins. The disease is known as VtftarTOBti and is extremely hard to cure. 5.

MutrsCtita : — The urine of a person voluntarily suppressing it does not flow out at all or only dribbles out in drops or in scanty jets with slight pain, when he strains. The disease is called MutrAtita. 6.

Blutra-Jathara-.— The vital Apina VAyu is deranged and aggravated by the Udâvarta produced by a checked desire for urination and completely fills up and distends, with an excruciating pain in the abdomen below the umbilicus. The disease is called Mutrajathara and the lower orifices* {viz. the anus and the urethra) are obstructed in this disease. 7.

Blutrotsanga:— The disease in which the stream of urine gliding along the bladder and urethra is gradually emitted in scanty jets or runs down the exterior surface of the glan penis with blood, whether with or without pain, is called Mutrotsanga (lit. gliding urination) and is an outcome of the deranged and aggravated action of the bodily Vâyu. 8.

Mutra-kshaya and Mutra-granthf The deranged and aggravated Pitta and Vdyu in the bladder of an extremely fatigued person already suffering from an extreme parchedness of organism, finds lodgement in the bladder producing, in concert, a sensation of local burning and pain attended with a scanty accumulation of urine in the cavity of the organ (lit. absence of micturition). The disease which can be made to yeild only to the virtue of therapeutic agents the bladder is obstructed.

* Some reed the lower part vh., the neck of

ChapmLVIII.J UTTARA-TANTRA. 363